Introduction: The issue of gratuity is one of the most important health policy issues in Hungary. Aim: The authors' aim is to investigate the attitude of Hungarian family medicine trainees towards gratitude payment. Method: Quantitative, paper-based survey among trainees from four Departments of Family Medicine in Hungary (n = 152). Results: More than 50 percent of the residents do not approve of accepting gratitude money. Men (p<0.026), and graduating residents accept it significantly more often (p<0.036) while doctors with children tend to accept it more frequently (p<0.051). They think that the reason for this phenomenon is the lack of proper care (65%), vulnerability and the sense of real gratitude patients feel (52%). According to the participants, the least influencing factor was the low salary of physicians (14.4%). They believe that accepting gratuity is a corruption, and it's humiliating for doctors (80-80%). Conclusion: Family medicine residents approve of gratitude money even less as compared to the results of previous studies, but related to other gratitude payment issues we have found similar opinions.
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